PERSONAL SERVICE CONTRACT REQUEST FOR PROPOSAL INSTRUCTIONS REQUEST FOR

  APPLICATION FORM AND PERSONAL INFORMATION SHEET IF
CHARGE SHEET I PERSONAL DATA 1 NAME
MOVILIDAD DEL PERSONAL CON FINES DE DOCENCIA

2 – PRÄMIE FÜR DAS PERSONAL DES SÜDTIROLER
4 FICHA CREATIVIDAD PROGRAMA DE DESARROLLO PERSONAL
5 FORVALTNINGSRETLIGE A SPEKTER I PERSONALESAGER INDHOLDSFORTEGNELSE

PSC RFP Instructions/Form

PERSONAL SERVICE CONTRACT

REQUEST FOR PROPOSAL

INSTRUCTIONS



Request for Proposal (RFP) to procure professional services (Personal Service Contract) must be comprised of the following:

Any questions related to these instructions should be directed to Sally Molsberger at 852-8223 or Donna Barrett at 852-8225.



  1. COVER/SIGNATURE PAGE. Fill in the required information: Request Date, Name of Department (Contact Person), Service, Due Date, Time Due, where to email, mail or fax the proposals to (to include Department Name, Address, Fax Number).

  2. REQUEST FOR PROPOSAL COMPONENTS. Section II is an outline of the elements that comprise a Request For Proposal. Departments are encouraged to use as many pages as necessary to fully describe each element.


  1. SCOPE OF SERVICES REQUIRED: Fully describe the service(s) the vendor is being asked to perform. Departments should provide the period of time the required services are to be performed. If the PSC is to be with a public relations firm, the following sentence must be included in the RFP: “The vendor and the University department will work with the University’s Office of Communications and Marketing to ensure compliance with the University’s graphic identity standards and strategic planning/branding initiatives.”

If sensitive data or website development is involved in the services the Office of Information Security should be consulted for any required language to be included in the RFP document.

  1. INFORMATIONAL BACKGROUND: In order for vendors to understand how to respond to the RFP, information should be provided that describes the department(s) for whom the services are to be performed. In addition, provide any other relevant statistical information that would help the vendors compose their response.

  2. REQUIRED PROPOSAL SUBMITTALS: Departments should describe for respondents the items/elements that respondents should submit including:

    1. Proposed Cost: Payment will be upon receipt of deliverables/services and not made in advance.

    1. Experience (what is the required experience and what should be submitted to evaluate this criteria)

    2. Time frame to complete service (if applicable)

    3. (Any additional appropriate criteria)


  1. METHOD OF AWARD: Departments should describe the criteria that will be used to evaluate each RFP response and upon which the contract award will be based. The following criteria are suggestions and criteria may vary depending upon the service(s) required. All items listed must also correspond to what is submitted. Percentage is based upon 100% total.

  1. Cost ________(%)

  2. Experience____________(%)

  3. Time frame to complete service _________(%)

  4. (Any other appropriate criteria).


  1. SAMPLE PERSONAL SERVICE CONTRACT AND BUSINESS ASSOCIATE AGREEMENT: The Department will need to inform Procurement Services of the funding source so that a copy of the appropriate Personal Service Contract (PSC) form can be provided with the RFP for vendor reference. Also, if needed, a sample of the Business Associate Agreement should be provided for the services being provided. The policy and form can be found at http://louisville.edu/privacy/business-associates.


IV. FURTHER INSTRUCTIONS

  1. Attach a copy of any appropriate documents for vendor reference when submitting their response to the RFP for example, grant proposal specifications.

  2. All RFPs issued for the purpose of establishing a personal service contract must be publicly advertised. The originating department will utilize the Procurement Services website to satisfy the public advertising requirement. The originating department will forward a completed RFP, (in Word document form) to [email protected]. If the originating department chooses to use additional advertising avenues, then an advertisement can be placed in a newspaper of general circulation.

  3. The RFP website link must be sent by the originating department to a minimum of three (3) vendors. If three (3) vendors are not known, then the RFP must be sent to as many as known, by the originating department. In the event, the originating department must prepare documentation as to why the minimum could not be met. Documentation, including the following, must be maintained by the originating department:

    • Name of Vendor

    • Address and Contact Person

    • Date the Request For Proposal was distributed


  1. Vendors must be given a minimum of seven (7) days to respond to the RFP and may require more time due to the service(s) required.

  2. Proposals must not be accepted after the due date and time indicated on the cover/signature page.

  3. The originating department must establish an evaluation committee and each proposal received must be evaluated in accordance with the criteria listed in the RFP. After all scoring is completed a summary of the evaluations must be completed.

  4. Negotiations may commence with the highest scoring vendor upon completion of proposal evaluations. . If compensation cannot be agreed upon with the best qualified offeror and if proposals were submitted by one (1) or more other offerors determined to be qualified, negotiations may be conducted with the other offeror or offerors in the order of their respective qualification ranking. In this case, the contract may be awarded to the next best ranked offeror for a fair and reasonable compensation.

  5. The originating department must submit to Procurement Services the following for approval before executing the PSC :

    • Evaluation Summary

    • Copy of Request For Proposal issued by the originating department

    • Copy of response from the selected vendor

    • If needed, a fully executed Business Associate Agreement, which must be reviewed by the University of Louisville Privacy Officer prior to signature


  1. The originating department must complete the appropriate PSC form (located on forms) and email to Procurement Services for review before sending to the selected vendor for signature on “Second Party” line. Upon receipt of the Second Party signature, the Chair/Department Head must sign the contract on the “Recommended By” line. If funding is from a Sponsored project the department must obtain signature of responsible PI and then send to Procurement Services for further reviews/signatures.

  2. Prior to contract award, Procurement Services shall complete a review of the contractor(s) against appropriate governmental exclusion/debarment/suspension lists. Any vendors who are identified as potential matches will be reported to the Institutional Compliance Office for verification procedures prior to contract award. Procurement Services will not proceed with contract award to any contractor verified as a positive match, without consultation with the Institutional Compliance Office and appropriate University Administration.







5/8/19

PERSONAL SERVICE CONTRACT REQUEST FOR PROPOSAL INSTRUCTIONS REQUEST FOR

UNIVERSITY OF LOUISVILLE

PROCUREMENT SERVICES

BELKNAP CAMPUS

LOUISVILLE, KY 40292


PERSONAL SERVICE CONTRACT

REQUEST FOR PROPOSAL

COVER/SIGNATURE PAGE

PERSONAL SERVICE CONTRACT REQUEST FOR PROPOSAL INSTRUCTIONS REQUEST FOR PERSONAL SERVICE CONTRACT REQUEST FOR PROPOSAL INSTRUCTIONS REQUEST FOR

REQUEST DATE:

3. Service:

2. NAME OF DEPARTMENT :


CONTACT PERSON:

1.


6. Email:

4. Due Date:

5. Time Due:

Proposals should be sent to the department by the following method:


7. EMAIL, MAIL OR FAX PROPOSALS TO: Department Name: ________________________________________________________

Address: ________________________________________________________________

Email:____________________________ Fax #_____________________


THE BOTTOM PORTION OF THIS FORM IS TO BE COMPLETED BY THE VENDOR AND SUBMITTED WITH PROPOSAL


Equal Employment Opportunity – All parties must be in compliance with executive order 11246 of September 24, 1965 as amended by executive order 11375 of October 13, 1967.


STATEMENT OF NON-COLLUSION AND NON-CONFLICT OF INTEREST

I hereby swear (or affirm) under penalty for false swearing as provided by KRS 523.040:

  1. That attached Request For Proposal has been submitted without collusion with , and without any agreement, understanding or planned common course of action with, any other vendor of materials, supplies, equipment or services described in the Request For Quotation designed to limit independent competition.

  2. That the proposer is legally entitled to enter into the contract with the University of Louisville, an agency of the Commonwealth of Kentucky, and is not in violation of any prohibited conflict of interest, including those prohibited by the provisions of KRS 45A.325, to 45A.340, 45A.990 and 164.990 and 164.821 (7).

  3. That I have fully informed myself regarding the accuracy of the statements made above.





SIGNED BY:___________________________________________________________________TELEPHONE:______________________

PRINTED NAME:_______________________________________________EMAIL: ___________________________________________

FIRM NAME:_____________________________________________________________________________________________________

ADDRESS:_______________________________________________________________________________________________________

CITY:__________________________________________STATE:_____________________ZIP CODE:__________________



REQUEST FOR PROPOSAL COMPONENTS



  1. Scope of Services:



  1. Informational Background:



  1. Required Proposal Submittals:

    1. Proposed Cost: Payment will be upon receipt of deliverables/services and not made in advance.

  • Fee (i.e. based on hourly rate X hours worked, deliverables completed, etc.)

  • Other expenses (i.e. travel, if applicable)

    1. Experience (what is the required experience and what should be submitted to evaluate this criteria)

    2. Timeframe to complete services (if applicable)

    3. (Any additional appropriate criteria)



  1. Method of Award:

    1. Cost______________(%)

    2. Experience________(%)

    3. Timeframe________(%)

    4. (Anything additional Required Proposal Submittals will need % assigned)



  1. Contract Period :

Desired contract start and end dates are ____________ through ______________.

No services are to be provided prior to the start date indicated on the fully executed Personal Services Contract (sample provided).


Optional additional language, if using state funds whereby the PSC cannot cross the biennium period:

A subsequent additional contract may be established from this RFP process to run from ____________ through ___________ with all terms, conditions and pricing remaining the same. This will require a new contract be executed.



  1. Questions: (Optional)

All questions regarding this RFP are due by (approx. 5 days from posting of RFP) at (time) Eastern Standard Time and are to be emailed to (name and email address). Answers to questions will be issued as an addendum and posted to the website location of the RFP by (approx. 3 days following due date).










9 CURRICULUM VITAE I PERSONAL HOWARD A
APPLICATION FOR AMENDMENT OF PERSONAL OR HEALTH INFORMATION
APPLICATION FORM POSITION APPLIED FOR 1 PERSONAL


Tags: request for, code:__________________ request, request, proposal, service, contract, instructions, personal